Combination of robot‐assisted laparoscopic pyeloplasty for lower moiety ureteropelvic junction obstruction in a partial duplex system and percutaneous endoscopic surgery for renal calculi reusing the port for robotic pyeloplasty

Abstract

Introduction Ureteropelvic junction obstruction is often associated with renal calculus formation. However, there is no report of using robot‐assisted laparoscopic pyeloplasty combined with percutaneous endoscopic surgery for ureteropelvic junction obstruction and renal calculi in a partial duplex system. Case presentation A 19‐year‐old female patient with lower moiety ureteropelvic junction obstruction and renal calculi in a partial duplex system was referred to our hospital because of left lumbar pain, left acute pyelonephritis, and an increase in left renal calculi during follow‐up at the referral hospital. To prevent the complication of percutaneous nephrolithotripsy following pyeloplasty, robot‐assisted laparoscopic pyeloplasty combined with percutaneous endoscopic surgery was performed. Two years after surgery, the patient reported no left lumbar pain. Conclusion The combination of robot‐assisted laparoscopic pyeloplasty and percutaneous endoscopic surgery can be proposed as a safe and less‐invasive treatment option for ureteropelvic junction obstruction and renal calculi in a partial duplex system.

Keywords

• duplex system
• percutaneous endoscopic surgery
• pyeloplasty
• renal calculi
• ureteropelvic junction obstruction